{"id":647,"date":"2021-08-25T12:24:15","date_gmt":"2021-08-25T12:24:15","guid":{"rendered":"https:\/\/consciousconception.life\/?page_id=647"},"modified":"2026-04-18T20:58:44","modified_gmt":"2026-04-18T20:58:44","slug":"surrogate-application-form","status":"publish","type":"page","link":"https:\/\/soulconsciouscreation.com\/es\/surrogate-application-form\/","title":{"rendered":"Surrogate Application Form"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"647\" class=\"elementor elementor-647\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e26f629 e-flex e-con-boxed e-con e-parent\" data-id=\"e26f629\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-706881a e-con-full e-flex e-con e-child\" data-id=\"706881a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-04ce1b8 elementor-widget elementor-widget-image\" data-id=\"04ce1b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/soulconsciouscreation.com\/es\/\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/soulconsciouscreation.com\/wp-content\/uploads\/2024\/11\/Logo-Conscious-Creation-Blanco.png\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-47fe53a elementor-widget elementor-widget-heading\" data-id=\"47fe53a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Convi\u00e9rtete en gestante<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-969bbac elementor-widget elementor-widget-text-editor\" data-id=\"969bbac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Por favor llena tus datos e informaci\u00f3n completando el siguiente cuestionario!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-42168fd e-flex e-con-boxed e-con e-parent\" data-id=\"42168fd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-25c9fb2 e-flex e-con-boxed e-con e-child\" data-id=\"25c9fb2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4b98434 elementor-widget elementor-widget-shortcode\" data-id=\"4b98434\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-1429 forminator-design--flat  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-1429\" data-uid=\"6a1a2409db95c\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1429\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1429 forminator-design--flat  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"1429\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"flat\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a1a2409db95c\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1429--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1429--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"Enviar\"\n\t\t\t\tdata-actual-label=\"Informaci\u00f3n personal\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-3-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCumples con todos los requisitos mencionados en la p\u00e1gina anterior? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a1a2409db95c\" id=\"forminator-field-name-1_6a1a2409db95c-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Nombre\" id=\"forminator-field-name-1_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a1a2409db95c\" id=\"forminator-field-name-2_6a1a2409db95c-label\" class=\"forminator-label\">Apellidos <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"Apellidos\" id=\"forminator-field-name-2_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a1a2409db95c\" id=\"forminator-field-phone-1_6a1a2409db95c-label\" class=\"forminator-label\">Tel\u00e9fono <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Tel\u00e9fono\" id=\"forminator-field-phone-1_6a1a2409db95c\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a1a2409db95c\" id=\"forminator-field-email-1_6a1a2409db95c-label\" class=\"forminator-label\">Correo electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Correo electr\u00f3nico\" id=\"forminator-field-email-1_6a1a2409db95c\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a1a2409db95c\" id=\"forminator-field-date-1-picker_6a1a2409db95c-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Fecha de nacimiento\" id=\"forminator-field-date-1-picker_6a1a2409db95c\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-1429__field--select-1_6a1a2409db95c\" id=\"forminator-form-1429__field--select-1_6a1a2409db95c-label\" class=\"forminator-label\">Estado civil <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-1429__field--select-1_6a1a2409db95c\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Selecciona tu estado civil\" data-search=\"false\" data-search-placeholder=\"Selecciona tu estado civil\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1429__field--select-1_6a1a2409db95c-label\"><option value=\"\"  >Selecciona tu estado civil<\/option><option value=\"one\"  data-calculation=\"0\">Soltera<\/option><option value=\"two\"  data-calculation=\"0\">Casada<\/option><option value=\"Uni\u00f3n-libre\"  data-calculation=\"0\">Uni\u00f3n libre<\/option><option value=\"Divorcio-finalizado\"  data-calculation=\"0\">Divorcio finalizado<\/option><option value=\"Divorcio-en-tramite\"  data-calculation=\"0\">Divorcio en tramite<\/option><\/select><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6a1a2409db95c\" id=\"forminator-field-text-16_6a1a2409db95c-label\" class=\"forminator-label\">Si eres casada o en una relaci\u00f3n, \u00bfcu\u00e1nto tiempo? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"\u00bfCu\u00e1nto tiempo?\" id=\"forminator-field-text-16_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a1a2409db95c\" id=\"forminator-field-text-1_6a1a2409db95c-label\" class=\"forminator-label\">Pa\u00eds de origen <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Pa\u00eds de origen\" id=\"forminator-field-text-1_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a1a2409db95c\" id=\"forminator-field-text-2_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfD\u00f3nde vives? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\u00bfD\u00f3nde vives?\" id=\"forminator-field-text-2_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-2_6a1a2409db95c-description\" \/><span id=\"forminator-field-text-2_6a1a2409db95c-description\" class=\"forminator-description\">(estado y municipio\/delegaci\u00f3n\/colonia)<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a1a2409db95c\" id=\"forminator-field-text-3_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfA que te dedicas o en que trabajas? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\u00bfA que te dedicas o en que trabajas?\" id=\"forminator-field-text-3_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6a1a2409db95c\" id=\"forminator-field-text-17_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1l es la ocupaci\u00f3n de tu pareja? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"\u00bfCu\u00e1l es la ocupaci\u00f3n de tu pareja?\" id=\"forminator-field-text-17_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a1a2409db95c\" id=\"forminator-field-text-4_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1l es tu \u00faltimo grado de estudios? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\u00bfCu\u00e1l es tu \u00faltimo grado de estudios?\" id=\"forminator-field-text-4_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6a1a2409db95c\" id=\"forminator-field-text-9_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1ntos hijos tienes y cu\u00e1les son sus edades? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\u00bfCu\u00e1ntos hijos tienes y cu\u00e1les son sus edades?\" id=\"forminator-field-text-9_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-4-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfSu pareja apoya su decisi\u00f3n de convertirse en madre sustituta? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-4\" value=\"one\" id=\"forminator-field-radio-4-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"two\" id=\"forminator-field-radio-4-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-5-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfSu familia apoya su decisi\u00f3n de convertirse en madre sustituta? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-5\" value=\"one\" id=\"forminator-field-radio-5-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"two\" id=\"forminator-field-radio-5-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6a1a2409db95c\" id=\"forminator-field-text-18_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfComo es tu casa? Vives en una casa, apartamento, etc. \u00bfQui\u00e9n vive contigo? \u00bfVives en una zona segura? \u00bfTienes familiares cerca? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"\u00bfComo es tu casa? Vives en una casa, apartamento, etc. \u00bfQui\u00e9n vive contigo? \u00bfVives en una zona segura? \u00bfTienes familiares cerca?\" id=\"forminator-field-text-18_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6a1a2409db95c\" id=\"forminator-field-text-19_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfUsted o alguien de su familia ha sido tratado por una enfermedad mental? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-19\" value=\"\" placeholder=\"\u00bfUsted o alguien de su familia ha sido tratado por una enfermedad mental?\" id=\"forminator-field-text-19_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6a1a2409db95c\" id=\"forminator-field-text-20_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfAlguna vez ha sido arrestado? Si es as\u00ed, explique. <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-20\" value=\"\" placeholder=\"\u00bfAlguna vez ha sido arrestado? Si es as\u00ed, explique.\" id=\"forminator-field-text-20_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-21\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-21_6a1a2409db95c\" id=\"forminator-field-text-21_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1l es su ingreso aproximado por mes? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-21\" value=\"\" placeholder=\"\u00bfCu\u00e1l es su ingreso aproximado por mes?\" id=\"forminator-field-text-21_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-6-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfTienes una visa para entrar a los Estados Unidos? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-6\" value=\"one\" id=\"forminator-field-radio-6-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"two\" id=\"forminator-field-radio-6-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-7-6a1a2409db95c-label\" class=\"forminator-label\">Muchos futuros padres optan por trabajar con una agencia para protegerse a s\u00ed mismos y a la madre sustituta. Si los futuros padres quieren trabajar con una agencia y garantizarle la misma cantidad de compensaci\u00f3n, \u00bfest\u00e1 dispuesto a trabajar con una agencia? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-7\" value=\"one\" id=\"forminator-field-radio-7-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-7\" value=\"two\" id=\"forminator-field-radio-7-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-8-6a1a2409db95c-label\" class=\"forminator-label\">Para dar a luz deber\u00e1 mudarse durante 1 a 2 meses al final del embarazo (todos los gastos pagados) en el estado que elijan los futuros padres. \u00bfEs esto algo que est\u00e1s dispuesto a hacer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-8\" value=\"one\" id=\"forminator-field-radio-8-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-8\" value=\"two\" id=\"forminator-field-radio-8-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6a1a2409db95c\" id=\"forminator-field-text-15_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfComo supiste de nosotros? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"\u00bfComo supiste de nosotros?\" id=\"forminator-field-text-15_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a1a2409db95c\" id=\"forminator-field-upload-1_6a1a2409db95c-label\" class=\"forminator-label\">Inserta una foto tuya <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload\" data-element=\"upload-1_6a1a2409db95c\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6a1a2409db95c\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.png,.webp,.svgz,.json,.heic\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6a1a2409db95c_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6a1a2409db95c\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1429--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1429--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"Informaci\u00f3n personal\"\n\t\t\t\tdata-actual-label=\"Acerca de ti mismo\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a1a2409db95c\" id=\"forminator-field-textarea-1_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfPor qu\u00e9 te gustar\u00eda ser gestante? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"\u00bfPor qu\u00e9 te gustar\u00eda ser gestante?\" id=\"forminator-field-textarea-1_6a1a2409db95c\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-22\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-22_6a1a2409db95c\" id=\"forminator-field-text-22_6a1a2409db95c-label\" class=\"forminator-label\">Describa el tipo de relaci\u00f3n que le gustar\u00eda tener con sus futuros padres durante el embarazo y despu\u00e9s del nacimiento de su hijo <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-22\" value=\"\" placeholder=\"Describa el tipo de relaci\u00f3n que le gustar\u00eda tener con sus futuros padres durante el embarazo y despu\u00e9s del nacimiento de su hijo\" id=\"forminator-field-text-22_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-23\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-23_6a1a2409db95c\" id=\"forminator-field-text-23_6a1a2409db95c-label\" class=\"forminator-label\">Por favor describe tu car\u00e1cter y personalidad <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-23\" value=\"\" placeholder=\"Por favor describe tu car\u00e1cter y personalidad\" id=\"forminator-field-text-23_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-24\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-24_6a1a2409db95c\" id=\"forminator-field-text-24_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1l es tu tipo de m\u00fasica favorita? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-24\" value=\"\" placeholder=\"\u00bfCu\u00e1l es tu tipo de m\u00fasica favorita?\" id=\"forminator-field-text-24_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-25\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-25_6a1a2409db95c\" id=\"forminator-field-text-25_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCuales son tus libros favoritos? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-25\" value=\"\" placeholder=\"\u00bfCuales son tus libros favoritos?\" id=\"forminator-field-text-25_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-26\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-26_6a1a2409db95c\" id=\"forminator-field-text-26_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1les son sus comidas favoritas? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-26\" value=\"\" placeholder=\"\u00bfCu\u00e1les son sus comidas favoritas?\" id=\"forminator-field-text-26_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-27\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-27_6a1a2409db95c\" id=\"forminator-field-text-27_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfHaces ejercicio? Si es as\u00ed, \u00bfde qu\u00e9 tipo y con qu\u00e9 frecuencia? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-27\" value=\"\" placeholder=\"\u00bfHaces ejercicio? Si es as\u00ed, \u00bfde qu\u00e9 tipo y con qu\u00e9 frecuencia?\" id=\"forminator-field-text-27_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-28\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-28_6a1a2409db95c\" id=\"forminator-field-text-28_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1les son sus pasatiempos e intereses? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-28\" value=\"\" placeholder=\"\u00bfCu\u00e1les son sus pasatiempos e intereses?\" id=\"forminator-field-text-28_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-29\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-29_6a1a2409db95c\" id=\"forminator-field-text-29_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfQu\u00e9 garant\u00edas puede darles a los futuros padres de que no cambiar\u00e1n de opini\u00f3n acerca de entregar al ni\u00f1o? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-29\" value=\"\" placeholder=\"\u00bfQu\u00e9 garant\u00edas puede darles a los futuros padres de que no cambiar\u00e1n de opini\u00f3n acerca de entregar al ni\u00f1o?\" id=\"forminator-field-text-29_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-30\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-30_6a1a2409db95c\" id=\"forminator-field-text-30_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfQu\u00e9 tipo de apoyo recibir\u00e1 de su familia\/amigos\/pareja? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-30\" value=\"\" placeholder=\"\u00bfQu\u00e9 tipo de apoyo recibir\u00e1 de su familia\/amigos\/pareja?\" id=\"forminator-field-text-30_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-20\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-20-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-20-6a1a2409db95c-label\" class=\"forminator-label\">Si el ni\u00f1o quisiera hablar con usted en el futuro, \u00bfestar\u00eda dispuesto a hacerlo? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-20-label-1\" for=\"forminator-field-radio-20-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-20\" value=\"one\" id=\"forminator-field-radio-20-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-20-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-20-label-2\" for=\"forminator-field-radio-20-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-20\" value=\"two\" id=\"forminator-field-radio-20-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-20-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-20-label-3\" for=\"forminator-field-radio-20-3-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Tal vez\"><input type=\"radio\" name=\"radio-20\" value=\"Tal-vez\" id=\"forminator-field-radio-20-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-20-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tal vez<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-32\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-32_6a1a2409db95c\" id=\"forminator-field-text-32_6a1a2409db95c-label\" class=\"forminator-label\">Despu\u00e9s del nacimiento, \u00bfcu\u00e1nta informaci\u00f3n de contacto del ni\u00f1o le gustar\u00eda? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-32\" value=\"\" placeholder=\"Despu\u00e9s del nacimiento, \u00bfcu\u00e1nta informaci\u00f3n de contacto del ni\u00f1o le gustar\u00eda?\" id=\"forminator-field-text-32_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1429--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1429--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"Acerca de ti mismo\"\n\t\t\t\tdata-actual-label=\"Historial de embarazo e informaci\u00f3n m\u00e9dica\"\n\t\t\t\tdata-name=\"page-break-3\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_6a1a2409db95c\" id=\"forminator-field-number-2_6a1a2409db95c-label\" class=\"forminator-label\">Altura <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-2\" value=\"\" placeholder=\"Metros\" id=\"forminator-field-number-2_6a1a2409db95c\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"200\" \/><\/div><\/div><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_6a1a2409db95c\" id=\"forminator-field-number-1_6a1a2409db95c-label\" class=\"forminator-label\">Peso <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"Kilogramos\" id=\"forminator-field-number-1_6a1a2409db95c\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"200\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6a1a2409db95c\" id=\"forminator-field-text-8_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfQu\u00e9 tipo de sangre eres? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"Tipo de sangre\" id=\"forminator-field-text-8_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-2-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfTienes alg\u00fan problema m\u00e9dico que incluya, entre otros: asma, alergias (alimentarias\/ambientales), anemia, problemas de tiroides, etc.? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a1a2409db95c\" id=\"forminator-field-text-5_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfTomas medicamento diario para algo? Si tomas alg\u00fan medicamento, menci\u00f3nalo <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\u00bfTomas medicamento diario para algo? Si tomas alg\u00fan medicamento, menci\u00f3nalo\" id=\"forminator-field-text-5_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6a1a2409db95c\" id=\"forminator-field-text-7_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfTe han realizado alguna cirug\u00eda? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\u00bfTe han realizado alguna cirug\u00eda?\" id=\"forminator-field-text-7_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-11\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-11-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-11-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfRecibi\u00f3 todas las vacunas infantiles, incluidas, entre otras, las siguientes: sarampi\u00f3n, paperas, rub\u00e9ola, varicela, hepatitis, t\u00e9tanos, etc.? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-11-label-1\" for=\"forminator-field-radio-11-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-11\" value=\"one\" id=\"forminator-field-radio-11-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-11-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-11-label-2\" for=\"forminator-field-radio-11-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-11\" value=\"two\" id=\"forminator-field-radio-11-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-11-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6a1a2409db95c\" id=\"forminator-field-textarea-3_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfHa sido vacunado contra el COVID? En caso afirmativo, indique las fechas de las vacunas y la marca (nota: algunos futuros padres quieren vacunarse y otros quieren no vacunarse) <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-3\" placeholder=\"\u00bfHa sido vacunado contra el COVID? En caso afirmativo, indique las fechas de las vacunas y la marca (nota: algunos futuros padres quieren vacunarse y otros quieren no vacunarse)\" id=\"forminator-field-textarea-3_6a1a2409db95c\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-21\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-21-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-21-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfHas sido gestante previamente? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-21-label-1\" for=\"forminator-field-radio-21-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-21\" value=\"one\" id=\"forminator-field-radio-21-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-21-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-21-label-2\" for=\"forminator-field-radio-21-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-21\" value=\"two\" id=\"forminator-field-radio-21-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-21-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-1-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfHas estado embarazada anteriormente? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6a1a2409db95c\" id=\"forminator-field-textarea-2_6a1a2409db95c-label\" class=\"forminator-label\">HISTORIAL DE EMBARAZO: \u2022 La fecha de parto \u2022 Peso de nacimiento \u2022 Cu\u00e1ntas semanas ten\u00eda en el momento del parto\/edad gestacional \u2022 Tuvo complicaciones \u2022 Ces\u00e1rea o parto vaginal \u2022 Singleton o gemelos <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-2\" placeholder=\"Enumere todos sus embarazos aqu\u00ed, e incluya los datos de la descripci\u00f3n para cada uno\" id=\"forminator-field-textarea-2_6a1a2409db95c\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6a1a2409db95c\" id=\"forminator-field-text-11_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1ntos han sido partos? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"\u00bfCu\u00e1ntos han sido partos?\" id=\"forminator-field-text-11_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6a1a2409db95c\" id=\"forminator-field-text-12_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1ntos han sido ces\u00e1reas? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"\u00bfCu\u00e1ntos han sido ces\u00e1reas?\" id=\"forminator-field-text-12_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6a1a2409db95c\" id=\"forminator-field-text-10_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1ntos han sido abortos? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"\u00bfCu\u00e1ntos han sido abortos?\" id=\"forminator-field-text-10_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-33\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-33_6a1a2409db95c\" id=\"forminator-field-text-33_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfTuviste alguna complicaci\u00f3n durante alguno de tus embarazos? Si es as\u00ed, explique <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-33\" value=\"\" placeholder=\"\u00bfTuviste alguna complicaci\u00f3n durante alguno de tus embarazos? Si es as\u00ed, explique\" id=\"forminator-field-text-33_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-9-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfEst\u00e1s amamantando actualmente? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-9\" value=\"one\" id=\"forminator-field-radio-9-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-9\" value=\"two\" id=\"forminator-field-radio-9-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-10-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfAlguna vez ha dado a un ni\u00f1o en adopci\u00f3n? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-10\" value=\"one\" id=\"forminator-field-radio-10-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-10-label-2\" for=\"forminator-field-radio-10-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-10\" value=\"two\" id=\"forminator-field-radio-10-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-10-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_6a1a2409db95c\" id=\"forminator-field-number-3_6a1a2409db95c-label\" class=\"forminator-label\">Edad del primer per\u00edodo <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-3\" value=\"\" placeholder=\"Edad del primer per\u00edodo\" id=\"forminator-field-number-3_6a1a2409db95c\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6a1a2409db95c\" id=\"forminator-field-date-2-picker_6a1a2409db95c-label\" class=\"forminator-label\">Fecha del \u00faltimo per\u00edodo menstrual <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Fecha del \u00faltimo per\u00edodo menstrual\" id=\"forminator-field-date-2-picker_6a1a2409db95c\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-34\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-34_6a1a2409db95c\" id=\"forminator-field-text-34_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfTiene ciclos regulares de 28 d\u00edas? Si no, \u00bfcu\u00e1l es la duraci\u00f3n de su ciclo? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-34\" value=\"\" placeholder=\"\u00bfTiene ciclos regulares de 28 d\u00edas? Si no, \u00bfcu\u00e1l es la duraci\u00f3n de su ciclo?\" id=\"forminator-field-text-34_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6a1a2409db95c\" id=\"forminator-field-text-13_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfQu\u00e9 m\u00e9todo para no embarazarte utilizas? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"\u00bfQu\u00e9 m\u00e9todo para no embarazarte utilizas?\" id=\"forminator-field-text-13_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_6a1a2409db95c\" id=\"forminator-field-date-3-picker_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima revisi\u00f3n ginecol\u00f3gica? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"\u00bfCu\u00e1ndo fue tu \u00faltima revisi\u00f3n ginecol\u00f3gica?\" id=\"forminator-field-date-3-picker_6a1a2409db95c\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1429--page-3\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1429--page-3-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"3\"\n\t\t\t\tdata-label=\"Historial de embarazo e informaci\u00f3n m\u00e9dica\"\n\t\t\t\tdata-actual-label=\"Preferencia personal\"\n\t\t\t\tdata-name=\"page-break-4\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"text-35\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-35_6a1a2409db95c\" id=\"forminator-field-text-35_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfQu\u00e9 cualidades de sus IP (Padres de Intenci\u00f3n) son m\u00e1s importantes para usted? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-35\" value=\"\" placeholder=\"\u00bfQu\u00e9 cualidades de sus IP son m\u00e1s importantes para usted?\" id=\"forminator-field-text-35_6a1a2409db95c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1a2409db95c-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1a2409db95c-label\" class=\"forminator-label\">En t\u00e9rminos de futuros padres con los que est\u00e1 dispuesto a trabajar, marque todo lo que corresponda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-6a1a2409db95c-label\" for=\"forminator-field-checkbox-1-1-6a1a2409db95c\" class=\"forminator-checkbox\" title=\"Cualquier persona\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-checkbox-1-1-6a1a2409db95c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Cualquier persona<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a1a2409db95c-label\" for=\"forminator-field-checkbox-1-2-6a1a2409db95c\" class=\"forminator-checkbox\" title=\"IP nacionales\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"two\" id=\"forminator-field-checkbox-1-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-checkbox-1-2-6a1a2409db95c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">IP nacionales<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6a1a2409db95c-label\" for=\"forminator-field-checkbox-1-3-6a1a2409db95c\" class=\"forminator-checkbox\" title=\"IP internacionales\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"IP-internacionales\" id=\"forminator-field-checkbox-1-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-checkbox-1-3-6a1a2409db95c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">IP internacionales<\/span><\/label><label id=\"forminator-field-checkbox-1-4-6a1a2409db95c-label\" for=\"forminator-field-checkbox-1-4-6a1a2409db95c\" class=\"forminator-checkbox\" title=\"Pareja heterosexual\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Pareja-heterosexual\" id=\"forminator-field-checkbox-1-4-6a1a2409db95c\" aria-labelledby=\"forminator-field-checkbox-1-4-6a1a2409db95c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Pareja heterosexual<\/span><\/label><label id=\"forminator-field-checkbox-1-5-6a1a2409db95c-label\" for=\"forminator-field-checkbox-1-5-6a1a2409db95c\" class=\"forminator-checkbox\" title=\"Pareja del mismo sexo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Pareja-del-mismo-sexo\" id=\"forminator-field-checkbox-1-5-6a1a2409db95c\" aria-labelledby=\"forminator-field-checkbox-1-5-6a1a2409db95c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Pareja del mismo sexo<\/span><\/label><label id=\"forminator-field-checkbox-1-6-6a1a2409db95c-label\" for=\"forminator-field-checkbox-1-6-6a1a2409db95c\" class=\"forminator-checkbox\" title=\"Padre soltero (gay\/lesbiana)\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Padre-soltero-(gay-lesbiana)\" id=\"forminator-field-checkbox-1-6-6a1a2409db95c\" aria-labelledby=\"forminator-field-checkbox-1-6-6a1a2409db95c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Padre soltero (gay\/lesbiana)<\/span><\/label><label id=\"forminator-field-checkbox-1-7-6a1a2409db95c-label\" for=\"forminator-field-checkbox-1-7-6a1a2409db95c\" class=\"forminator-checkbox\" title=\"Padre soltero (heterosexual)\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Padre-soltero-(heterosexual)\" id=\"forminator-field-checkbox-1-7-6a1a2409db95c\" aria-labelledby=\"forminator-field-checkbox-1-7-6a1a2409db95c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Padre soltero (heterosexual)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-12-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfEst\u00e1s dispuesta a tener gemelos? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-12\" value=\"one\" id=\"forminator-field-radio-12-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-12\" value=\"two\" id=\"forminator-field-radio-12-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-12-label-3\" for=\"forminator-field-radio-12-3-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Tal vez\"><input type=\"radio\" name=\"radio-12\" value=\"Tal-vez\" id=\"forminator-field-radio-12-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-12-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tal vez<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-13\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-13-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-13-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfEst\u00e1s dispuesta a reducir un embarazo gemelar a \u00fanico? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-13-label-1\" for=\"forminator-field-radio-13-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-13\" value=\"one\" id=\"forminator-field-radio-13-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-13-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-13-label-2\" for=\"forminator-field-radio-13-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-13\" value=\"two\" id=\"forminator-field-radio-13-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-13-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-13-label-3\" for=\"forminator-field-radio-13-3-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Tal vez\"><input type=\"radio\" name=\"radio-13\" value=\"Tal-vez\" id=\"forminator-field-radio-13-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-13-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tal vez<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-14\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-14-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-14-6a1a2409db95c-label\" class=\"forminator-label\">Si hay un problema m\u00e9dico grave con el feto que lleva y los futuros padres quieren considerar la interrupci\u00f3n del embarazo, \u00bfle permitir\u00eda tomar esa decisi\u00f3n? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-14-label-1\" for=\"forminator-field-radio-14-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-14\" value=\"one\" id=\"forminator-field-radio-14-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-14-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-14-label-2\" for=\"forminator-field-radio-14-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-14\" value=\"two\" id=\"forminator-field-radio-14-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-14-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-14-label-3\" for=\"forminator-field-radio-14-3-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Tal vez\"><input type=\"radio\" name=\"radio-14\" value=\"Tal-ve\" id=\"forminator-field-radio-14-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-14-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tal vez<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-15\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-15-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-15-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfTerminar\u00edas por s\u00edndrome de Down u otros problemas cromos\u00f3micos a petici\u00f3n de tu IP? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-15-label-1\" for=\"forminator-field-radio-15-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-15\" value=\"one\" id=\"forminator-field-radio-15-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-15-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-15-label-2\" for=\"forminator-field-radio-15-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-15\" value=\"two\" id=\"forminator-field-radio-15-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-15-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-15-label-3\" for=\"forminator-field-radio-15-3-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Tal vez\"><input type=\"radio\" name=\"radio-15\" value=\"Tal-vez\" id=\"forminator-field-radio-15-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-15-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tal vez<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-16\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-16-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-16-6a1a2409db95c-label\" class=\"forminator-label\">Si se determinara que el ni\u00f1o tendr\u00eda graves anomal\u00edas f\u00edsicas o mentales y los padres decidieran abortar, \u00bfestar\u00eda usted dispuesto a abortar? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-16-label-1\" for=\"forminator-field-radio-16-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-16\" value=\"one\" id=\"forminator-field-radio-16-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-16-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-16-label-2\" for=\"forminator-field-radio-16-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-16\" value=\"two\" id=\"forminator-field-radio-16-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-16-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-16-label-3\" for=\"forminator-field-radio-16-3-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Tal vez\"><input type=\"radio\" name=\"radio-16\" value=\"Tal-vez\" id=\"forminator-field-radio-16-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-16-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tal vez<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-17\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-17-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-17-6a1a2409db95c-label\" class=\"forminator-label\">Si los padres quieren una muestra de vellosidades cr\u00f3nicas (CVS) o una amniocentesis, \u00bfestar\u00eda usted dispuesto a hacerlo? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-17-label-1\" for=\"forminator-field-radio-17-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-17\" value=\"one\" id=\"forminator-field-radio-17-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-17-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-17-label-2\" for=\"forminator-field-radio-17-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-17\" value=\"two\" id=\"forminator-field-radio-17-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-17-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-17-label-3\" for=\"forminator-field-radio-17-3-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Tal vez\"><input type=\"radio\" name=\"radio-17\" value=\"Tal-vez\" id=\"forminator-field-radio-17-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-17-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tal vez<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-18\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-18-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-18-6a1a2409db95c-label\" class=\"forminator-label\">\u00bfEstar\u00eda dispuesta a extraer, congelar y enviar su leche materna (sin costo alguno) si su IP lo solicitara? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-18-label-1\" for=\"forminator-field-radio-18-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-18\" value=\"one\" id=\"forminator-field-radio-18-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-18-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-18-label-2\" for=\"forminator-field-radio-18-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-18\" value=\"two\" id=\"forminator-field-radio-18-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-18-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-18-label-3\" for=\"forminator-field-radio-18-3-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Tal vez\"><input type=\"radio\" name=\"radio-18\" value=\"Tal-vez\" id=\"forminator-field-radio-18-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-18-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tal vez<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-19\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-19-6a1a2409db95c-label\"><span id=\"forminator-radiogroup-radio-19-6a1a2409db95c-label\" class=\"forminator-label\">Cuando nazca el beb\u00e9, \u00bfse sentir\u00e1 c\u00f3moda con que los futuros padres est\u00e9n en la sala de partos? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-19-label-1\" for=\"forminator-field-radio-19-1-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-19\" value=\"one\" id=\"forminator-field-radio-19-1-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-19-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-19-label-2\" for=\"forminator-field-radio-19-2-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-19\" value=\"two\" id=\"forminator-field-radio-19-2-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-19-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-19-label-3\" for=\"forminator-field-radio-19-3-6a1a2409db95c\" class=\"forminator-radio forminator-radio-inline\" title=\"Tal vez\"><input type=\"radio\" name=\"radio-19\" value=\"Tal-vez\" id=\"forminator-field-radio-19-3-6a1a2409db95c\" aria-labelledby=\"forminator-field-radio-19-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tal vez<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_6a1a2409db95c\" id=\"forminator-field-textarea-4_6a1a2409db95c-label\" class=\"forminator-label\">\u00bfHay algo m\u00e1s que le gustar\u00eda decirles a los futuros padres o cree que deber\u00edan saber? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-4\" placeholder=\"\u00bfHay algo m\u00e1s que le gustar\u00eda decirles a los futuros padres o cree que deber\u00edan saber?\" id=\"forminator-field-textarea-4_6a1a2409db95c\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1429--page-4\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1429--page-4-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"4\"\n\t\t\t\tdata-label=\"Preferencia personal\"\n\t\t\t\tdata-actual-label=\"Enviar\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Enviar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"2675284c6c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/647\" \/><input type=\"hidden\" name=\"form_id\" value=\"1429\"><input type=\"hidden\" name=\"page_id\" value=\"647\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/soulconsciouscreation.com\/es\/surrogate-application-form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4a7626ab elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"4a7626ab\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-70729fa7\" data-id=\"70729fa7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-130a2043 elementor-widget elementor-widget-image\" data-id=\"130a2043\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"http:\/\/consciousconception.life\/wp-content\/uploads\/2024\/03\/logo-conscious-conception-blanco-2.png\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-362385eb elementor-widget elementor-widget-text-editor\" data-id=\"362385eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Empresa Americana operando en M\u00e9xico<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55c2c2d6 elementor-shape-rounded elementor-grid-0 e-grid-align-center elementor-widget elementor-widget-social-icons\" data-id=\"55c2c2d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"social-icons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-social-icons-wrapper elementor-grid\" role=\"list\">\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-facebook-f elementor-animation-grow elementor-repeater-item-2f307f6\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Facebook-f<\/span>\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-facebook-f\" viewbox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M279.14 288l14.22-92.66h-88.91v-60.13c0-25.35 12.42-50.06 52.24-50.06h40.42V6.26S260.43 0 225.36 0c-73.22 0-121.08 44.38-121.08 124.72v70.62H22.89V288h81.39v224h100.17V288z\"><\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-instagram elementor-animation-grow elementor-repeater-item-b2c3f2e\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Instagram<\/span>\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-instagram\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.1 141c-63.6 0-114.9 51.3-114.9 114.9s51.3 114.9 114.9 114.9S339 319.5 339 255.9 287.7 141 224.1 141zm0 189.6c-41.1 0-74.7-33.5-74.7-74.7s33.5-74.7 74.7-74.7 74.7 33.5 74.7 74.7-33.6 74.7-74.7 74.7zm146.4-194.3c0 14.9-12 26.8-26.8 26.8-14.9 0-26.8-12-26.8-26.8s12-26.8 26.8-26.8 26.8 12 26.8 26.8zm76.1 27.2c-1.7-35.9-9.9-67.7-36.2-93.9-26.2-26.2-58-34.4-93.9-36.2-37-2.1-147.9-2.1-184.9 0-35.8 1.7-67.6 9.9-93.9 36.1s-34.4 58-36.2 93.9c-2.1 37-2.1 147.9 0 184.9 1.7 35.9 9.9 67.7 36.2 93.9s58 34.4 93.9 36.2c37 2.1 147.9 2.1 184.9 0 35.9-1.7 67.7-9.9 93.9-36.2 26.2-26.2 34.4-58 36.2-93.9 2.1-37 2.1-147.8 0-184.8zM398.8 388c-7.8 19.6-22.9 34.7-42.6 42.6-29.5 11.7-99.5 9-132.1 9s-102.7 2.6-132.1-9c-19.6-7.8-34.7-22.9-42.6-42.6-11.7-29.5-9-99.5-9-132.1s-2.6-102.7 9-132.1c7.8-19.6 22.9-34.7 42.6-42.6 29.5-11.7 99.5-9 132.1-9s102.7-2.6 132.1 9c19.6 7.8 34.7 22.9 42.6 42.6 11.7 29.5 9 99.5 9 132.1s2.7 102.7-9 132.1z\"><\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Convi\u00e9rtete en gestante Por favor llena tus datos e informaci\u00f3n completando el siguiente cuestionario! Empresa Americana operando en M\u00e9xico Facebook-f Instagram<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"disabled","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-647","page","type-page","status-publish","hentry"],"aioseo_notices":[],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"consciousconception.life","author_link":"https:\/\/soulconsciouscreation.com\/es\/author\/consciousconception-life\/"},"rttpg_comment":0,"rttpg_category":null,"rttpg_excerpt":"Convi\u00e9rtete en gestante Por favor llena tus datos e informaci\u00f3n completando el siguiente cuestionario! Empresa Americana operando en M\u00e9xico Facebook-f Instagram","_links":{"self":[{"href":"https:\/\/soulconsciouscreation.com\/es\/wp-json\/wp\/v2\/pages\/647","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/soulconsciouscreation.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/soulconsciouscreation.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/soulconsciouscreation.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/soulconsciouscreation.com\/es\/wp-json\/wp\/v2\/comments?post=647"}],"version-history":[{"count":30,"href":"https:\/\/soulconsciouscreation.com\/es\/wp-json\/wp\/v2\/pages\/647\/revisions"}],"predecessor-version":[{"id":2893,"href":"https:\/\/soulconsciouscreation.com\/es\/wp-json\/wp\/v2\/pages\/647\/revisions\/2893"}],"wp:attachment":[{"href":"https:\/\/soulconsciouscreation.com\/es\/wp-json\/wp\/v2\/media?parent=647"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}